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美国大学入学申请表
2010-11 First-year Application
For Spring 2011 or Fall 2011 Enrollment
APPLICANT
Legal Name ___________________________________________________________________________________________________________________
Last/Family/Sur (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc.
Preferred name, if not first name (choose only one)_______________________ Former last name(s), if any _______________________________________
Birth Date_____________________________________________________p Female p Male US Social Security Number, if any ___________________________________
mm/dd/yyyy Optional, unless applying for US Federal financial aid with the FAFSA form
Preferred Telephone p Home p Cell Home (_______) __________________________________ Cell (_______) __________________________________
Area/Country/City Code Area/Country/City Code
E-mail Address _________________________________________________ IM Address ____________________________________________________
Permanent home address __________________________________________________________________________________________________________
Number Street Apartment #
____________________________________________________________________________________________________________________________
City/Town County or Parish State/Province Country ZIP/Postal Code
If different from above, please give your current mailing address for all admission correspondence. (from ___________ to ___________
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